Individual
MS. LATINYA M ORTIZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
220 E CALHOUN ST, SUMTER, SC 29150-4326
(803) 306-5752
(803) 617-7460
Mailing address
220 E CALHOUN ST, SUMTER, SC 29150-4326
(803) 306-5752
(803) 617-7460
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
IHCP-1159
SC
253Z00000X
In Home Supportive Care Agency
IHCP-1159
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/20/2020
Last updated
05/20/2020
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